IPACHTE# 17 r 41—)-7S— Harnett County Department of Public Health 29674
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
{� c PROPERTY LOCATION: Ca — Ci JRia+
ISSUED TQ: t��t5pt s t JiC x.6132 LOT #
^�r1f % SUBDIVISION
NEW REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: s�0C31i�S
Proposed Wastewater System_Type: -159*/0 MCx1&v4 ry
Projected Daily Flow. GPD
Number of bedrooms:_ Number of Occupants: So max
Basement []Yes 1<40
Pump Required: []Yes -�Eqo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:`7 Date: 7 1,41 D1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees s e WLoI other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requiremenn. This
site is subject to revontion if the site plan, plat, or the intended use changes. The Improv eft Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: PROPERTY LOCATION:C ePac3S G, urs cars QZ
SUBDIVISION LOT # fl5
Facility Type: New ❑ Expansion F-1Repair
Basement? ❑ Yes � No Basement tFi�xtures? LJ Yes No
Type of Wastewater System** aS`/o (Initial) Wastewater Flow: 306 GPD
(See note below, if applicable ❑) - uR S
�• (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 3 gallons Exact length of each trench i a O feet Trench Spacing: cl Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. -4 inches
Maximum Trench Depth of: 11 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: (t. TDM vs. _ GPM
Conditions:
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable, / understand the system type specified it different from the type spec/led on the application. /accept the rpecificationr of this permit
uwnerneg b1 nature: Date:
This construction Authorization is subject to reroc a site plan, plat or she intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Canswttian Authorisationu I compliance a pros f the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Q�*YS Date: 1 y 37
Construct Authorization Expiration Date: 1912a.
HTE# S—H Y-1-75 Permit # �9C-'-)4
Harnett County Department of 1-�iblic Health
Site Sketch
PROPERTY LOCATON: C--Jeer--55
ISSUED TO: -, SccnaGlL SUBDIVISIONLOT — # p'
S
Authorized State Agent�Date: sc � 17
t o� ti ooflEa P-. 5 IM F of
S=YpLUoSlOvt .Ca NTPU<Z
MPN O\FF—�, SL,GIi�LY
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: ,))kl t�
Address: Date Evaluated: \
Proposed Facility: _3 2Qa4N Design Flow (I 4 J�a
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Method�pug�o g ❑ Pit [-]Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
,1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapm
Class
.1944
Restr
Horiz
JLC
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U5
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Description
Initial
ste
Other Factors (.1946),,(yS
Site Classification 1.194**Available
Space (.1945)
kRepairSyEstem
Evaluated Byd\
S stem T e(s)
�- 5 i
Others Present:Site
LTAR„
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